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DISCLOSURES TO CONSUMERS:

These discount medical plans are NOT health insurance or a MediCare Prescription Drug Plan. Membership in these programs entitles you to discounts for certain medical services and prescription drugs by providers who have agreed to participate in these discount programs. These programs do NOT make payments directly to the providers of medical services and prescription drugs. The programs members are obligated to pay for all healthcare services, but will receive a discount from those healthcare providers who have contracted with these discount programs. The name, address and specialty of the discount medical and prescription drug program providers in your service area are available before purchase and upon request by logging on to www.ameriplanusaprovidersearch.com or call the AmeriPlan Consumer Information Center at 1-800-647-8421. AmeriPlan Corporation
5700 Democracy Drive Plano, Texas 75024 A Discount Medical Plan Organization
The average savings on the most utilized provider procedures stated in this brochure are only a sample from the discount fee schedule that each AmeriPlan provider has agreed to honor for members. The discounts represent a reduction on a treatment or percentage basis of the usual and customary fees charged by the providers for a specific treatment. AmeriPlan confirms that its medical, dental, vision, chiropractic and pharmacy providers are professionally licensed in your state, but does not guarantee the quality of the services or products. Quality of care complaints should be addressed to the appropriate licensing agency in your state. If you are not sure whom to call regarding quality of care complaints, contact the Consumer Information Center at 1-800-647-8421. If you have health insurance, this discount medical plan may be duplicative of your health insurance.

For more information, contact AmeriPlan Independent Associate:

DISCOUNTS ARE NOT INSURANCE

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2011 AmeriPlan Corporation. All rights reserved.

DPR.08.11

Example of savings on the most utilized dental procedures:


Sample General Dentist Procedures* Dental Office Fees** up to AmeriPlan Fees AmeriPlan Savings Up To

Exams
D0150 - Initial Oral Exam D0120 - Periodic Oral Exam $120 $68 $167 $117 $32 $13 $50 $46

73% 81% 70% 61%

X-Rays
D0210 - Intraoral Complete Series

Cleaning
D1110 - Regular Teeth Cleaning
(Light Scaling & Polishing)

Fillings
Amalgam Filling (Silver Colored) D2140 - 1 Surface $182 $209 $933 $1,408 $45 $70 $375 $550

75% 67% 60% 56%

AmeriPlan Discount Programs are

Composite Filling (Tooth Colored) D2330 - 1 Anterior Surface

Root Canal (Excluding Final Restoration)


D3310 - Anterior

NOT INSURANCE!

D2750 - Porcelain Crown


(w/High Noble Metal)

Orthodontic Treatment (Braces*)


by General Dentist

D8080 - Child (under age 19) D8090 - Adult (age 19 and over)

$6,205 $6,518

$2,250 $2,400

64% 63%

* Current Dental Terminology 2011 American Dental Association, All Rights Reserved. National Dental Advisory Service 2011. **Different fees may apply in different areas of your state. For the appropriate fees for your area, go to

www.ameriplanusaprovidersearch.com or call 1-800-647-8421.

AmeriPlan Discount Programs are

NOT INSURANCE!

What makes AmeriPlan Dental Plus

Different ... and Better?

Vision, Prescription and Chiropractic


Dental:
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ MORE THAN 30,000 DENTAL PROVIDERS NATIONWIDE. NO LIMIT ON VISITS OR SERVICES. ONGOING DENTAL PROBLEMS ARE ACCEPTED, (Except Dental and Orthodontic treatments in progress.) INSTANT SAVINGS. NO AGE LIMIT. NO PAPERWORK. NO WAITING PERIOD. ORTHODONTICS (braces) AND COSMETIC DENTISTRY INCLUDED . SPECIALISTS INCLUDED, (where available.) YOU CAN CHANGE DENTISTS.

Vision:
MORE THAN 12,000 OPTICAL PROVIDERS NATIONWIDE. SAVE FROM 20% TO 60% on all frames, lenses, tints, scratch-resistant coatings and ultra-violet protection. SAVE FROM 10% TO 50% on ophthalmology eye exams, and LASIK surgery with certain providers in selected markets. SAVE FROM 10% TO 20% ON CONTACT LENSES (excluding disposables) at participating retail locations. SPECIAL SAVINGS FROM 10% TO 40% ON REPLACEMENT CONTACT LENSES. Including daily wear, extended wear, disposable, tinted, bifocals and gas permeable.* ~ ADDITIONAL DISCOUNTS on designer non-prescription sunglasses with the worlds largest online optical store.** ~ 30-DAY UNCONDITIONAL money-back guarantee on all merchandise.
* Available through mail order program only. ** Available through Internet program only.

AmeriPlan Discount Programs are

NOT INSURANCE!

What makes AmeriPlan Dental Plus

Different ... and Better?


Prescription:

Vision, Prescription and Chiropractic


~ MORE THAN 56,000 PARTICIPATING RETAIL AND INDEPENDENT PHARMACY LOCATIONS NATIONWIDE* ~ Save 10% - 85% on most brand name and generic prescription drugs** ~ Save on over the counter medications, smoking cessation aids and diabetes supplies ~ Mail order pharmacy option available
Pharmacy discounts are NOT insurance services or a MediCare Prescription Drug Plan and are NOT intended as a substitute for insurance.
* Discounts are available only at participating pharmacies. ** You may not receive a savings on some high-volume or maintenance type drug since these medications may have already been reduced at the pharmacy level.

Chiropractic:
~ ~ ~ ~ ~ MORE THAN 7,500 PARTICIPATING DOCTORS. FREE INITIAL CONSULTATION. 50% SAVINGS on all diagnostic services & required x-rays. 30% SAVINGS on treatment and most other services. NO LIMIT on number of visits.

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